Individual
MICHAEL KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1737 S NAPERVILLE RD STE 206, WHEATON, IL 60189-5894
(630) 653-9700
Mailing address
150 W SAINT CHARLES RD APT 524, LOMBARD, IL 60148-2280
(913) 220-1389
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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